NPI: 1205241510 · WINNFIELD, LA 71483 · Dentist · NPI assigned 06/25/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 408 | $0.00 |
| 2020 | 20 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 67 | 38 | $2K |
| D0999 | Unspecified diagnostic procedure, by report | 250 | 166 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 39 | 27 | $0.00 |
| D0274 | Bitewings - four radiographic images | 17 | 12 | $0.00 |
| D1110 | Prophylaxis - adult | 55 | 35 | $0.00 |